PMID- 35762385
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240124
IS  - 2192-5682 (Print)
IS  - 2192-5690 (Electronic)
IS  - 2192-5682 (Linking)
VI  - 14
IP  - 2
DP  - 2024 Mar
TI  - The Relationship Between Compliance of Physiotherapeutic Scoliosis Specific 
      Exercises and Curve Regression With Mild to Moderate Adolescent Idiopathic 
      Scoliosis.
PG  - 447-457
LID - 10.1177/21925682221109565 [doi]
AB  - STUDY DESIGN: Retrospective Case-control Study. OBJECTIVES: To determine the 
      requisite exercise compliance (EC) of physiotherapeutic scoliosis-specific 
      exercise (PSSE) for achieving curve regression; to analyze whether the apical 
      translation (AT), apical wedging (AW), and apical rotation (AR) of the major 
      curve improve with regression effect. METHODS: Between 2019 and 2021, a total of 
      763 patients undertook a 6-month PSSE treatment. This resulted 426 compliable and 
      302 uncompliable patients remained available for analysis. For compliable 
      patients, 213 with curve regression and 213 age-/sex-matched with curve 
      stabilization/deterioration at the 6-month, were eligible for regression analysis 
      to detect the relationship between EC and regression effect at the 6-month; 
      receiver operating characteristic (ROC) curve analysis and Youden's index were 
      applied to identify the threshold of EC leading to curve regression at the 
      6-month. The AT, AW, and AR of the major curve were compared before and after 
      6-month PSSE to investigate the radiographic parameters that improved with 
      regression effect. RESULTS: EC was correlated with regression effect (odds ratio: 
      19.9, 95% confidence interval: 11.3-35.0, P < .001) and the cutoff threshold of 
      EC was 4.4 h/week for 6 months to realize such an effect. AT was improved by 
      47.6% with curve regression, in which 152 cases remained curve regression and no 
      case progressed into the operative threshold at the 1.5- to 2-year. CONCLUSIONS: 
      A 6-month PSSE protocol of 4.4 hours per week was potentially leading to curve 
      regression in treating mild to moderate scoliosis. An improvement in AT of the 
      major curve was observed with the regression effect.
FAU - Fan, Yunli
AU  - Fan Y
AUID- ORCID: 0000-0001-9936-8857
AD  - Department of Orthopaedics, The University of Hong Kong - Shenzhen Hospital, 
      Shenzhen, People's Republic of China. RINGGOLD: 444333
AD  - Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong 
      Kong SAR, China. RINGGOLD: 25809
AD  - Department of Physiotherapy, The University of Hong Kong - Shenzhen Hospital, 
      Shenzhen, People's Republic of China. RINGGOLD: 444333
FAU - To, Michael Kt
AU  - To MK
AD  - Department of Orthopaedics, The University of Hong Kong - Shenzhen Hospital, 
      Shenzhen, People's Republic of China. RINGGOLD: 444333
AD  - Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong 
      Kong SAR, China. RINGGOLD: 25809
FAU - Kuang, Guan-Ming
AU  - Kuang GM
AD  - Department of Orthopaedics, The University of Hong Kong - Shenzhen Hospital, 
      Shenzhen, People's Republic of China. RINGGOLD: 444333
FAU - Cheung, Jason Pui Yin
AU  - Cheung JPY
AD  - Department of Orthopaedics, The University of Hong Kong - Shenzhen Hospital, 
      Shenzhen, People's Republic of China. RINGGOLD: 444333
AD  - Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong 
      Kong SAR, China. RINGGOLD: 25809
LA  - eng
PT  - Journal Article
DEP - 20220628
PL  - England
TA  - Global Spine J
JT  - Global spine journal
JID - 101596156
PMC - PMC10802514
OTO - NOTNLM
OT  - adolescent idiopathic scoliosis
OT  - apical rotation
OT  - apical translation
OT  - apical wedging
OT  - cobb angle
OT  - curve regression
OT  - exercise compliance
OT  - physiotherapeutic scoliosis specific exercise
COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2022/06/29 06:00
MHDA- 2022/06/29 06:01
PMCR- 2022/06/28
CRDT- 2022/06/28 05:32
PHST- 2022/06/29 06:01 [medline]
PHST- 2022/06/29 06:00 [pubmed]
PHST- 2022/06/28 05:32 [entrez]
PHST- 2022/06/28 00:00 [pmc-release]
AID - 10.1177_21925682221109565 [pii]
AID - 10.1177/21925682221109565 [doi]
PST - ppublish
SO  - Global Spine J. 2024 Mar;14(2):447-457. doi: 10.1177/21925682221109565. Epub 2022 
      Jun 28.